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Robotic and endoscopic transaxillary thyroidectomies may be cost prohibitive when compared to standard cervical thyroidectomy: a cost analysis

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dc.contributor.author이초록-
dc.contributor.author정웅윤-
dc.date.accessioned2014-12-19T17:42:03Z-
dc.date.available2014-12-19T17:42:03Z-
dc.date.issued2012-
dc.identifier.issn0039-6060-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/91890-
dc.description.abstractBACKGROUND: This study presents a cost analysis of the standard cervical, gasless transaxillary endoscopic, and gasless transaxillary robotic thyroidectomy approaches based on medical costs in the United States. METHODS: A retrospective review of 140 patients who underwent standard cervical, transaxillary endoscopic, or transaxillary robotic thyroidectomy at 2 tertiary centers was conducted. The cost model included operating room charges, anesthesia fee, consumables cost, equipment depreciation, and maintenance cost. Sensitivity analyses assessed individual cost variables. RESULTS: The mean operative times for the standard cervical, transaxillary endoscopic, and transaxillary robotic approaches were 121 ± 18.9, 185 ± 26.0, and 166 ± 29.4 minutes, respectively. The total cost for the standard cervical, transaxillary endoscopic, and transaxillary robotic approaches were $9,028 ± $891, $12,505 ± $1,222, and $13,670 ± $1,384, respectively. Transaxillary approaches were significantly more expensive than the standard cervical technique (standard cervical/transaxillary endoscopic, P < .0001; standard cervical/transaxillary robotic, P < .0001; and transaxillary endoscopic/transaxillary robotic, P = .001). The transaxillary and standard cervical techniques became equivalent in cost when transaxillary endoscopic operative time decreased to 111 minutes and transaxillary robotic operative time decreased to 68 minutes. Increasing the case load did not resolve the cost difference. CONCLUSION: Transaxillary endoscopic and transaxillary robotic thyroidectomies are significantly more expensive than the standard cervical approach. Decreasing operative times reduces this cost difference. The greater expense may be prohibitive in countries with a flat reimbursement schedule.-
dc.description.statementOfResponsibilityopen-
dc.relation.isPartOfSURGERY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdult-
dc.subject.MESHAxilla-
dc.subject.MESHCarcinoma, Papillary/surgery-
dc.subject.MESHCosts and Cost Analysis-
dc.subject.MESHEndoscopy/economics*-
dc.subject.MESHFemale-
dc.subject.MESHHumans-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHOperative Time-
dc.subject.MESHPostoperative Complications-
dc.subject.MESHRobotics/economics*-
dc.subject.MESHRobotics/methods-
dc.subject.MESHThyroid Neoplasms/surgery-
dc.subject.MESHThyroidectomy/economics*-
dc.subject.MESHThyroidectomy/methods-
dc.titleRobotic and endoscopic transaxillary thyroidectomies may be cost prohibitive when compared to standard cervical thyroidectomy: a cost analysis-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Surgery (외과학)-
dc.contributor.googleauthorJennifer C. Cabot-
dc.contributor.googleauthorCho Rok Lee-
dc.contributor.googleauthorLaurent Brunaud-
dc.contributor.googleauthorDavid A. Kleiman-
dc.contributor.googleauthorWoong Youn Chung-
dc.contributor.googleauthorThomas J. Fahey III-
dc.contributor.googleauthorRasa Zarnegar-
dc.identifier.doi23158175-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA03256-
dc.contributor.localIdA03674-
dc.relation.journalcodeJ02700-
dc.identifier.eissn1532-7361-
dc.identifier.pmid23158175-
dc.identifier.urlhttp://www.sciencedirect.com/science/article/pii/S0039606012004825-
dc.subject.keywordAdult-
dc.subject.keywordAxilla-
dc.subject.keywordCarcinoma, Papillary/surgery-
dc.subject.keywordCosts and Cost Analysis-
dc.subject.keywordEndoscopy/economics*-
dc.subject.keywordFemale-
dc.subject.keywordHumans-
dc.subject.keywordMale-
dc.subject.keywordMiddle Aged-
dc.subject.keywordOperative Time-
dc.subject.keywordPostoperative Complications-
dc.subject.keywordRobotics/economics*-
dc.subject.keywordRobotics/methods-
dc.subject.keywordThyroid Neoplasms/surgery-
dc.subject.keywordThyroidectomy/economics*-
dc.subject.keywordThyroidectomy/methods-
dc.contributor.alternativeNameLee, Cho Rok-
dc.contributor.alternativeNameChung, Woung Youn-
dc.contributor.affiliatedAuthorLee, Cho Rok-
dc.contributor.affiliatedAuthorChung, Woung Youn-
dc.citation.volume152-
dc.citation.number6-
dc.citation.startPage1016-
dc.citation.endPage1024-
dc.identifier.bibliographicCitationSURGERY, Vol.152(6) : 1016-1024, 2012-
dc.identifier.rimsid29986-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers

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